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  • Introduction
  • Overview
  • 1. Placement of Umbilical Port
  • 2. Inspection of Abdominal Contents
  • 3. Identification and Mobilization
  • 4. Excision of Mass
  • 5. Lysis of Adhesions
  • 6. Closure
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Laparoscopic Gastric Wedge Resection

31531 views

Martin Goodman, MD
Tufts University School of Medicine

Procedure Outline

  1. Incise skin and dissect down to fascia.
  2. Place fascial stay sutures and open fascia and peritoneum.
  3. Sweep any abdominal structures away from port site with finger sweep.
  4. Place umbilical port.
  5. Other two ports placed under direct vision of camera passed through abdominal port.
  1. Identify any peritoneal adhesions.
  1. Under direct vision via umbilical port
  1. Ligasure used to divide short gastric vessels close to edge of greater curvature of the stomach.
  1. Mass tattooed preoperatively by gastroenterology service.
  1. Endo-GIA stapler with 45mm load used to staple across base of mass.
  1. Removal of specimen via endo-catch bag
  2. Inspection of abdominal contents and gastric staple line
  3. Fascial closure
  4. Infiltration of local anesthetic